Hold an active, unrestricted Arkansas licensure in Social Work OR Counseling OR Psychology issued by the Arkansas Social Work Licensing Board OR Arkansas Board of Examiners in Counseling and Marriage & Family Therapy OR Arkansas Psychology Board in good standing, in one of the following:
LCSW, LMSW
LAMFT, LMFT
LAC, LPC
LPE, LPE-I
A Behavioral Health Master's degree from an accredited college or university in a related field.
2+ years of experience in a behavioral health setting, conducting utilization reviews or behavioral health case management.
Ability to handle HIPAA confidential information with discretion.
Skilled in interfacing with multiple providers across various settings.
Strong knowledge of:
Medical, psychiatric, and psychological terminology
Mental health assessment tools and treatment plans
Delivery of behavioral health services across acute inpatient, and outpatient home and community settings
Highly responsible, self-motivated, and detail-oriented with strong listening, verbal, and written communication skills.
Solid clinical skills for assessing services based on clinical record reviews.
Excellent written and verbal communication skills.
Preferred Qualifications/Experience:
Experience with Child and Adolescent Behavior.
Experience in Utilization Review (UR) and Utilization Management (UM) within behavioral health or medical settings.
Clinical quality review experience, including the evaluation of medical records.
Familiarity with medical necessity review criteria specific to Arkansas Medicaid.
In-depth knowledge of Arkansas Medicaid behavioral health policies and procedures.
Proficient in automated review systems and Microsoft Office Suite.